Organization
CHRISTOS MINISTRIES COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY R LUND LCSW (CLINICAL SOCIAL WORKER)
(262) 787-2904
Entity
Organization
Contact information
Practice address
12970 W BLUEMOUND RD, SUITE 105, ELM GROVE, WI 53122-2607
(262) 787-2904
(262) 787-2909
Mailing address
12970 W. BLUEMOUND RD., SUITE 105, ELM GROVE, WI 53122
(262) 787-2904
(262) 787-2909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2774-123
WI
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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